HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1
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HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1, publicado por HL7 Portugal. Este guia não é uma publicação autorizada; é a compilação contínua para a versão 1.0.0 construída pela FHIR (HL7® FHIR® Standard) CI Build. Esta versão é baseada no conteúdo atual de https://github.com/hl7-pt/patient-admin-ig/ e muda regularmente. Veja o Diretório de versões publicadas

Extension: PTPersonBirthplace - Detailed Descriptions

Active as of 2025-12-18

Definitions for the birthplace-pt extension.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Extension
Definição

Optional Extension Element - found in all resources.

CurtoOptional Extensions Element
Controlo0..*
Este elemento é afetado pelas seguintes invariantes: ele-1
É modificadorfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.extension:country
Nome da fatiacountry
Definição

An Extension

CurtoExtensionAdditional content defined by implementations
Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
4. Extension.extension:country.url
Definição

Source of the definition for the extension code - a logical name or a URL.

Curtoidentifies the meaning of the extension
Comentários

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Controlo1..1
Tipouri
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
Valor fixocountry
6. Extension.extension:county
Nome da fatiacounty
Definição

An Extension

CurtoExtensionAdditional content defined by implementations
Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Extension.extension:county.url
Definição

Source of the definition for the extension code - a logical name or a URL.

Curtoidentifies the meaning of the extension
Comentários

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Controlo1..1
Tipouri
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
Valor fixocounty
10. Extension.extension:municipality
Nome da fatiamunicipality
Definição

An Extension

CurtoExtensionAdditional content defined by implementations
Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Extension.extension:municipality.url
Definição

Source of the definition for the extension code - a logical name or a URL.

Curtoidentifies the meaning of the extension
Comentários

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Controlo1..1
Tipouri
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
Valor fixomunicipality
14. Extension.extension:parish
Nome da fatiaparish
Definição

An Extension

CurtoExtensionAdditional content defined by implementations
Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Extension.extension:parish.url
Definição

Source of the definition for the extension code - a logical name or a URL.

Curtoidentifies the meaning of the extension
Comentários

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Controlo1..1
Tipouri
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
Valor fixoparish
18. Extension.extension:address-pt
Nome da fatiaaddress-pt
Definição

Extensão complexa para endereço com tipo e códigos INE.

CurtoEndereço estruturado PT
Controlo0..1
TipoExtension(Endereço estruturado PT) (Extensão complexa)
É modificadorfalse
Deve apoiartrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. Extension.url
Definição

Source of the definition for the extension code - a logical name or a URL.

Curtoidentifies the meaning of the extension
Comentários

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Controlo1..1
Tipouri
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
Valor fixohttp://example.com/fhir/hl7pt/StructureDefinition/birthplace-pt
22. Extension.value[x]
Definição

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

CurtoValue of extension
Controlo0..01
TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Extension
2. Extension.extension:country
Nome da fatiacountry
Controlo0..1
4. Extension.extension:country.url
Valor fixocountry
6. Extension.extension:county
Nome da fatiacounty
Controlo0..1
8. Extension.extension:county.url
Valor fixocounty
10. Extension.extension:municipality
Nome da fatiamunicipality
Controlo0..1
12. Extension.extension:municipality.url
Valor fixomunicipality
14. Extension.extension:parish
Nome da fatiaparish
Controlo0..1
16. Extension.extension:parish.url
Valor fixoparish
18. Extension.extension:address-pt
Nome da fatiaaddress-pt
Controlo0..1
TipoExtension(Endereço estruturado PT) (Extensão complexa)
Deve apoiartrue
20. Extension.url
Valor fixohttp://example.com/fhir/hl7pt/StructureDefinition/birthplace-pt
22. Extension.value[x]
Controlo0..0

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Extension
Definição

Optional Extension Element - found in all resources.

CurtoOptional Extensions Element
Controlo0..*
Este elemento é afetado pelas seguintes invariantes: ele-1
É modificadorfalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
2. Extension.id
Definição

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

CurtoUnique id for inter-element referencing
Controlo0..1
Tipostring
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
4. Extension.extension
Definição

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingEste elemento introduz um conjunto de fatias em Extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 6. Extension.extension:country
    Nome da fatiacountry
    Definição

    An Extension

    CurtoExtension
    Controlo0..1
    TipoExtension
    É modificadorfalse
    Resumofalse
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Extension.extension:country.id
    Definição

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    CurtoUnique id for inter-element referencing
    Controlo0..1
    Tipostring
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    10. Extension.extension:country.extension
    Definição

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    CurtoAdditional content defined by implementations
    Comentários

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Controlo0..*
    TipoExtension
    É modificadorfalse
    Resumofalse
    Nomes alternativosextensions, user content
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingEste elemento introduz um conjunto de fatias em Extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ url
    • 12. Extension.extension:country.url
      Definição

      Source of the definition for the extension code - a logical name or a URL.

      Curtoidentifies the meaning of the extension
      Comentários

      The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

      Controlo1..1
      Tipouri
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      Valor fixocountry
      14. Extension.extension:country.value[x]
      Definição

      Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

      CurtoValue of extension
      Controlo0..1
      TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      16. Extension.extension:county
      Nome da fatiacounty
      Definição

      An Extension

      CurtoExtension
      Controlo0..1
      TipoExtension
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      18. Extension.extension:county.id
      Definição

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      CurtoUnique id for inter-element referencing
      Controlo0..1
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      20. Extension.extension:county.extension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      CurtoAdditional content defined by implementations
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadorfalse
      Resumofalse
      Nomes alternativosextensions, user content
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingEste elemento introduz um conjunto de fatias em Extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • value @ url
      • 22. Extension.extension:county.url
        Definição

        Source of the definition for the extension code - a logical name or a URL.

        Curtoidentifies the meaning of the extension
        Comentários

        The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

        Controlo1..1
        Tipouri
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        Valor fixocounty
        24. Extension.extension:county.value[x]
        Definição

        Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

        CurtoValue of extension
        Controlo0..1
        TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        26. Extension.extension:municipality
        Nome da fatiamunicipality
        Definição

        An Extension

        CurtoExtension
        Controlo0..1
        TipoExtension
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        28. Extension.extension:municipality.id
        Definição

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        CurtoUnique id for inter-element referencing
        Controlo0..1
        Tipostring
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        30. Extension.extension:municipality.extension
        Definição

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        CurtoAdditional content defined by implementations
        Comentários

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Controlo0..*
        TipoExtension
        É modificadorfalse
        Resumofalse
        Nomes alternativosextensions, user content
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingEste elemento introduz um conjunto de fatias em Extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
        • value @ url
        • 32. Extension.extension:municipality.url
          Definição

          Source of the definition for the extension code - a logical name or a URL.

          Curtoidentifies the meaning of the extension
          Comentários

          The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

          Controlo1..1
          Tipouri
          É modificadorfalse
          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
          Resumofalse
          Valor fixomunicipality
          34. Extension.extension:municipality.value[x]
          Definição

          Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

          CurtoValue of extension
          Controlo0..1
          TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
          [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
          É modificadorfalse
          Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. Extension.extension:parish
          Nome da fatiaparish
          Definição

          An Extension

          CurtoExtension
          Controlo0..1
          TipoExtension
          É modificadorfalse
          Resumofalse
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          38. Extension.extension:parish.id
          Definição

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          CurtoUnique id for inter-element referencing
          Controlo0..1
          Tipostring
          É modificadorfalse
          Formato XMLNo formato XML, esta propriedade é representada como um atributo.
          Resumofalse
          40. Extension.extension:parish.extension
          Definição

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          CurtoAdditional content defined by implementations
          Comentários

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Controlo0..*
          TipoExtension
          É modificadorfalse
          Resumofalse
          Nomes alternativosextensions, user content
          Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingEste elemento introduz um conjunto de fatias em Extension.extension.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
          • value @ url
          • 42. Extension.extension:parish.url
            Definição

            Source of the definition for the extension code - a logical name or a URL.

            Curtoidentifies the meaning of the extension
            Comentários

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Controlo1..1
            Tipouri
            É modificadorfalse
            Formato XMLNo formato XML, esta propriedade é representada como um atributo.
            Resumofalse
            Valor fixoparish
            44. Extension.extension:parish.value[x]
            Definição

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            CurtoValue of extension
            Controlo0..1
            TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
            [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumofalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            46. Extension.extension:address-pt
            Nome da fatiaaddress-pt
            Definição

            Extensão complexa para endereço com tipo e códigos INE.

            CurtoEndereço estruturado PT
            Controlo0..1
            TipoExtension(Endereço estruturado PT) (Extensão complexa)
            É modificadorfalse
            Deve apoiartrue
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            48. Extension.url
            Definição

            Source of the definition for the extension code - a logical name or a URL.

            Curtoidentifies the meaning of the extension
            Comentários

            The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

            Controlo1..1
            Tipouri
            É modificadorfalse
            Formato XMLNo formato XML, esta propriedade é representada como um atributo.
            Resumofalse
            Valor fixohttp://example.com/fhir/hl7pt/StructureDefinition/birthplace-pt
            50. Extension.value[x]
            Definição

            Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

            CurtoValue of extension
            Controlo0..0
            TipoEscolha de: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
            É modificadorfalse
            Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
            Resumofalse
            Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))